In-111 pentetate dtpa / 0.5 mci at Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
$592.95
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$3,953.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$429.17 with UNITED HEALTHCARE vs $3,586.00 with WELLCARE — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $429.17 | ↓ -28% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $640.78 | ↑ +8% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $745.62 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $745.62 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $745.62 | ↑ +26% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $745.62 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $745.62 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $745.62 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $745.62 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $745.62 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $745.62 | ↑ +26% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $760.53 | ↑ +28% |
| BLUE CROSS | BLUE CROSS MEDICARE | $775.44 | ↑ +31% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $775.44 | ↑ +31% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $782.90 | ↑ +32% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $782.90 | ↑ +32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $782.90 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $782.90 | ↑ +32% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $782.90 | ↑ +32% |
| WELLCARE | WELLCARE MEDICARE | $790.36 | ↑ +33% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $872.65 | ↑ +47% |
| SENTARA HEALTH | SENTARA HEALTH | $925.55 | ↑ +56% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,176.30 | ↑ +98% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,176.30 | ↑ +98% |
| BLUE CROSS | ANTHEM HMO | $1,201.69 | ↑ +103% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,201.69 | ↑ +103% |
| AETNA | AETNA | $1,531.22 | ↑ +158% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,589.65 | ↑ +168% |
| AMBETTER | AMBETTER | $1,625.45 | ↑ +174% |
| MEDCOST | MEDCOST VHN | $1,706.58 | ↑ +188% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,789.49 | ↑ +202% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,761.22 | ↑ +366% |
| WELLCARE | WELLCARE MEDICAID | $3,586.00 | ↑ +505% |
Visitor-reported prices
Comments
In-111 pentetate dtpa / 0.5 mci at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Indian Path Community Hospital | KINGSPORT | $592.95 | $640.78 – $1,789.49 |
| Ascension Saint Thomas Midtown | Nashville | $3,827.28 | $222.55 – $6,251.22 |
| CHI Memorial Hospital Hixson | Hixson | $1,863.62 | $476.25 – $4,407.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,663.21 | $476.25 – $4,407.20 |
| Johnson City Medical Center | JOHNSON CITY | $592.95 | $640.78 – $1,625.45 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $3,827.64 | $222.55 – $6,251.81 |
| Greeneville Community Hospital | GREENEVILLE | $592.95 | $257.50 – $1,625.45 |
| Bristol Regional Medical Center | BRISTOL | $592.95 | $429.17 – $1,789.49 |